Recruitment

Recruitment Status
Completed
Estimated Enrollment
72

Inclusion Criterias

Subjects must be willing to refrain from donating blood for eight weeks after completion of the study period;
Females of childbearing potential must have been using adequate contraception, defined as the use of hormonal (oral, injectable, or implantable) or barrier-method contraceptives for at least one month prior to drug administration and must agree to use an adequate method of contraception for at least one month following drug administration. Women who are lactating will be excluded. Women without childbearing potential (who have undergone a total hysterectomy or bilateral oophorectomy, have a history of bilateral tubal ligation, or are two years post-menopausal) are also eligible;
In the opinion of the Investigator, subjects who comply with the protocol and are likely to complete the study;
...
Subjects must be willing to refrain from donating blood for eight weeks after completion of the study period;
Females of childbearing potential must have been using adequate contraception, defined as the use of hormonal (oral, injectable, or implantable) or barrier-method contraceptives for at least one month prior to drug administration and must agree to use an adequate method of contraception for at least one month following drug administration. Women who are lactating will be excluded. Women without childbearing potential (who have undergone a total hysterectomy or bilateral oophorectomy, have a history of bilateral tubal ligation, or are two years post-menopausal) are also eligible;
In the opinion of the Investigator, subjects who comply with the protocol and are likely to complete the study;
Subjects are non-smokers/tobacco/nicotine product users within three months of first dosing and must have a total lifetime exposure to cigarettes of <15 pack-years.
Subjects must have BMI of ≥ 19 and ≤ 30 kg/m2, and weight range of 55-85 kg;
Males must agree to use a barrier form of birth control (i.e., condom with spermicidal gel) from the time of check-in to the clinical unit to 30 days after exposure to the study drug;
Females of child bearing age must not be pregnant or breast-feeding, nor plan to become pregnant for the duration of the study, and all females must have a negative serum pregnancy test within 28 days of treatment, and a negative serum pregnancy test prior to dosing;
Subjects must be generally healthy adult male or female volunteers, 18-to-55 years-of age;
Subjects must be able to read/comprehend English; and
Subjects must provide written informed consent by signing and dating an IRB-approved written informed consent before any screening procedures are performed;
Subjects must have adequate venous access;
Subjects must be physically fit as determined by physical examination and BMI;

Exclusion Criterias

History of glaucoma;
Clinically relevant ECG abnormalities based on three 12-lead ECGs obtained five minutes apart;
ECG with a PR interval ≥ 200 msec at screening or before dosing;
...
History of glaucoma;
Clinically relevant ECG abnormalities based on three 12-lead ECGs obtained five minutes apart;
ECG with a PR interval ≥ 200 msec at screening or before dosing;
Clinically relevant abnormal physical findings (including vital signs, pulse oximetry, and transcutaneous or end-tidal PCO2) or laboratory values at the pre-study period screening assessment that could interfere with the objectives of the study or the safety of the subject;
History of allergic or untoward reaction to any bispyridinium oximes; or history allergy to cotton seed oil or history of anaphylactic shock;
Preexistent renal insufficiency (estimated GFR using a GFR prediction equation <60 mL/min/1.73m^2, and/or other evidence of structural or functional abnormalities (e.g. PI assessment of the presence of clinically significant hematuria, proteinuria, or history of abnormalities on renal imaging) and/or abnormal BUN and serum creatinine or an abnormal urinalysis;
Have consumed grapefruit, grapefruit juice, other grapefruit containing products, or starfruit within seven days prior to planned dosing;
Have any skin condition that would interfere with injection of study drug; or
History or presence of significant cardiovascular, hepatic, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease that could potentially impact the safety of the subject or metabolism of the drug;
Having taken, within 14 days of planned dosing, any prescription or non-prescription medication (including home remedies, herbal supplements or nutritional supplements) unless the Principal Investigator/Sub-Investigator, in consultation with the Sponsor Medical Monitor, provides a statement justifying that the medication taken will not impact the results of this study (with rare exceptions taking prescriptions drugs will be grounds for exclusion);
Have spirometry with abnormal FEV1, FVC or FEV1/FVC ratio according to current American Thoracic Society/European Respiratory Society standards.
History of seizures;
Skeletal muscle disease or evidence of skeletal muscle injury based on abnormal (>1.5 x ULN) blood creatine kinase and myoglobin levels;
Have positive tests for hepatitis B surface antigen, hepatitis C, syphilis, human immunodeficiency virus (HIV) HIV-1 or HIV-2;
Have an active malignancy or history of metastatic or hematologic malignancy with the exception of melanoma in situ or basal or squamous cell carcinoma of the skin. Subjects must be disease-free for ten years;
History of chronic pulmonary disease or current acute pulmonary disease; history of treatment for asthma or any other reactive airways disease in the past year;
Supine blood pressure less than 100/55 mmHg at screening or before dosing;
Participation in a PK study or any other clinical study currently or within the last 30 days;
Have ongoing drug abuse/dependence (including alcohol); or recent history (over the past five years) of treatment for alcohol or drug abuse; or a current positive urine tests for drug abuse;
Ejection fraction less than 55% on screening echocardiogram;
Donated >480 mL of blood in the last 8 weeks.
ECG with a QTc interval > 450 msec for males, 470 msec for females (QT interval corrected with Bazett formula);
Have any specified laboratory values (e.g., hematology - complete blood count with differential, serum chemistry and urinalysis) outside the normal range for age and sex and deemed clinically significant by the Principal Investigator, within 28 days before treatment;

Summary

Conditions
Treatment Against the Lethal Effects of Nerve Agent Intoxication
Type
Interventional
Phase
Phase 1
Design
  • Allocation: Randomized
  • Intervention Model: Parallel Assignment
  • Masking: Triple (Participant, Care Provider, Investigator)
  • Primary Purpose: Other

Participation Requirements

Age
Between 18 years and 55 years
Gender
Both males and females

Description

The goal of this study is to assess safety, tolerability, and PK of MMB4 DMS EF at up to six cohorts chosen to provide the range required for PK analyses, including assessment of dose proportionality.

The goal of this study is to assess safety, tolerability, and PK of MMB4 DMS EF at up to six cohorts chosen to provide the range required for PK analyses, including assessment of dose proportionality.

Inclusion Criterias

Subjects must be willing to refrain from donating blood for eight weeks after completion of the study period;
Females of childbearing potential must have been using adequate contraception, defined as the use of hormonal (oral, injectable, or implantable) or barrier-method contraceptives for at least one month prior to drug administration and must agree to use an adequate method of contraception for at least one month following drug administration. Women who are lactating will be excluded. Women without childbearing potential (who have undergone a total hysterectomy or bilateral oophorectomy, have a history of bilateral tubal ligation, or are two years post-menopausal) are also eligible;
In the opinion of the Investigator, subjects who comply with the protocol and are likely to complete the study;
...
Subjects must be willing to refrain from donating blood for eight weeks after completion of the study period;
Females of childbearing potential must have been using adequate contraception, defined as the use of hormonal (oral, injectable, or implantable) or barrier-method contraceptives for at least one month prior to drug administration and must agree to use an adequate method of contraception for at least one month following drug administration. Women who are lactating will be excluded. Women without childbearing potential (who have undergone a total hysterectomy or bilateral oophorectomy, have a history of bilateral tubal ligation, or are two years post-menopausal) are also eligible;
In the opinion of the Investigator, subjects who comply with the protocol and are likely to complete the study;
Subjects are non-smokers/tobacco/nicotine product users within three months of first dosing and must have a total lifetime exposure to cigarettes of <15 pack-years.
Subjects must have BMI of ≥ 19 and ≤ 30 kg/m2, and weight range of 55-85 kg;
Males must agree to use a barrier form of birth control (i.e., condom with spermicidal gel) from the time of check-in to the clinical unit to 30 days after exposure to the study drug;
Females of child bearing age must not be pregnant or breast-feeding, nor plan to become pregnant for the duration of the study, and all females must have a negative serum pregnancy test within 28 days of treatment, and a negative serum pregnancy test prior to dosing;
Subjects must be generally healthy adult male or female volunteers, 18-to-55 years-of age;
Subjects must be able to read/comprehend English; and
Subjects must provide written informed consent by signing and dating an IRB-approved written informed consent before any screening procedures are performed;
Subjects must have adequate venous access;
Subjects must be physically fit as determined by physical examination and BMI;

Exclusion Criterias

History of glaucoma;
Clinically relevant ECG abnormalities based on three 12-lead ECGs obtained five minutes apart;
ECG with a PR interval ≥ 200 msec at screening or before dosing;
...
History of glaucoma;
Clinically relevant ECG abnormalities based on three 12-lead ECGs obtained five minutes apart;
ECG with a PR interval ≥ 200 msec at screening or before dosing;
Clinically relevant abnormal physical findings (including vital signs, pulse oximetry, and transcutaneous or end-tidal PCO2) or laboratory values at the pre-study period screening assessment that could interfere with the objectives of the study or the safety of the subject;
History of allergic or untoward reaction to any bispyridinium oximes; or history allergy to cotton seed oil or history of anaphylactic shock;
Preexistent renal insufficiency (estimated GFR using a GFR prediction equation <60 mL/min/1.73m^2, and/or other evidence of structural or functional abnormalities (e.g. PI assessment of the presence of clinically significant hematuria, proteinuria, or history of abnormalities on renal imaging) and/or abnormal BUN and serum creatinine or an abnormal urinalysis;
Have consumed grapefruit, grapefruit juice, other grapefruit containing products, or starfruit within seven days prior to planned dosing;
Have any skin condition that would interfere with injection of study drug; or
History or presence of significant cardiovascular, hepatic, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease that could potentially impact the safety of the subject or metabolism of the drug;
Having taken, within 14 days of planned dosing, any prescription or non-prescription medication (including home remedies, herbal supplements or nutritional supplements) unless the Principal Investigator/Sub-Investigator, in consultation with the Sponsor Medical Monitor, provides a statement justifying that the medication taken will not impact the results of this study (with rare exceptions taking prescriptions drugs will be grounds for exclusion);
Have spirometry with abnormal FEV1, FVC or FEV1/FVC ratio according to current American Thoracic Society/European Respiratory Society standards.
History of seizures;
Skeletal muscle disease or evidence of skeletal muscle injury based on abnormal (>1.5 x ULN) blood creatine kinase and myoglobin levels;
Have positive tests for hepatitis B surface antigen, hepatitis C, syphilis, human immunodeficiency virus (HIV) HIV-1 or HIV-2;
Have an active malignancy or history of metastatic or hematologic malignancy with the exception of melanoma in situ or basal or squamous cell carcinoma of the skin. Subjects must be disease-free for ten years;
History of chronic pulmonary disease or current acute pulmonary disease; history of treatment for asthma or any other reactive airways disease in the past year;
Supine blood pressure less than 100/55 mmHg at screening or before dosing;
Participation in a PK study or any other clinical study currently or within the last 30 days;
Have ongoing drug abuse/dependence (including alcohol); or recent history (over the past five years) of treatment for alcohol or drug abuse; or a current positive urine tests for drug abuse;
Ejection fraction less than 55% on screening echocardiogram;
Donated >480 mL of blood in the last 8 weeks.
ECG with a QTc interval > 450 msec for males, 470 msec for females (QT interval corrected with Bazett formula);
Have any specified laboratory values (e.g., hematology - complete blood count with differential, serum chemistry and urinalysis) outside the normal range for age and sex and deemed clinically significant by the Principal Investigator, within 28 days before treatment;

Locations

Baltimore, Maryland, 21201
Baltimore, Maryland, 21201

Tracking Information

NCT #
NCT02018250
Collaborators
Not Provided
Investigators
  • Principal Investigator: Mohamed S Al-Ibrahim, MD, ChB, FACP SNBL Clinical Pharmacology Center, Inc.
  • Mohamed S Al-Ibrahim, MD, ChB, FACP SNBL Clinical Pharmacology Center, Inc.